Vennum, Keith
Vennum, Keith is an sole proprietor health care provider with primary practice located at 150 E Robinson St Unit 2201 , Orlando FL 32801-4360. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Psychiatry. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Vennum, Keith can be contacted via phone (407) 205-8833.Contact Information
Primary practice address
150 E Robinson St Unit 2201
Orlando FL 32801-4360
Phone: (407) 205-8833
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MH11014 | Florida |
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207LA0401X | ME24611 | Florida |
| Allopathic & Osteopathic Physicians / Addiction Medicine | 2084A0401X | ME24611 | Florida |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | ME24611 | Florida |
| Allopathic & Osteopathic Physicians / Addiction Psychiatry | 2084P0802X | ME24611 | Florida |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MH 11014 | Florida |
Profile Details
| NPI number | 1952415119 |
|---|---|
| LBN Legal business name | Vennum, Keith |
| Credentials | LMHC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 17th, 2006 |
| Last updated | Mar 29th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952415119 | NPPES |
| Florida | Other | 68002A | MEDICARE |
| Florida | MEDICAID | 003353900 | MEDICARE |
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